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患者女性,41岁,因反复咳嗽、咳痰10月余人院。患者于2000年9月出现咳嗽、咳痰,劳累及体位改变时加重,白粘痰,量多,易咳出,伴发热(体温最高达39.8℃)、胸闷、气促、盗汗,无心悸、胸痛、咯血等不适。就诊于当地医院,先后按“肺炎”、“肺结核”给予抗感染及抗结核治疗,症状减轻。2001年3月复查胸片提示病灶增大,症状进行性加重。于2001年7月24日转我科。患病以来食欲、精神、睡眠、体力欠佳,体重减轻约10公斤。既往有“糖尿病”史3年。入院
Female patient, 41 years old, due to repeated cough, sputum more than 10 people hospital. Patients in September 2000 cough, sputum, fatigue and increase in position change, white phlegm, volume, easy to cough, fever (body temperature up to 39.8 ℃), chest tightness, shortness of breath, night sweats, no heart palpitations, Chest pain, hemoptysis and other discomfort. Visited the local hospital, successively according to “pneumonia ”, “tuberculosis ” give anti-infective and anti-TB treatment, reduce the symptoms. March 2001 review chest X-ray showed increased lesions, progressive worsening of symptoms. July 24, 2001 to my branch. Since the onset of appetite, mental, sleep, poor physical fitness, weight loss of about 10 kg. Past history of “diabetes” 3 years. Admission